Johnson, Bruce W

Johnson, Bruce W is an individual health care provider with primary practice located at 6401 Mountain View Road Suite 109, Ooltewah TN 37363-6685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Bruce W can be contacted via phone (423) 495-5951.

Contact Information

Primary practice address
6401 Mountain View Road Suite 109 Ooltewah TN 37363-6685
Phone: (423) 495-5951
Fax: (423) 495-5999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28377 Tennessee

Profile Details

NPI number 1619954575
LBN Legal business name Johnson, Bruce W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jun 2nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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